Organization Name: | COVENANT MEDICAL GROUP, INC |
NPI Number: | 1730468182 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE G UTTERBACK (VP FINANCIAL SERVICES) |
Mailing Address: | 423 Medical Park Dr Ste 100 Lenoir City |
State: | TN US |
Postal Code: | 377725640 |
Phone Number: | 8652716575 |
Fax Number: | 8659867807 |
NPI Enumeration Date: | 08/16/2011 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |